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Louisiana rates for HCPCS J1640

Panhematin IV SOLR 350 MG

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.17 / $35.21 / $75.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $34.52 / $41.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.13 / $36.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $36.38 / $37.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $32.25 / $34.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $34.18 / $38.95